ATI RN
ATI RN Adult Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Pillows between the knees prevent adduction and pressure ulcers in hemiplegia.
Question 2 of 5
A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in place. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Space for one finger ensures the vest fits properly without excessive pressure.
Question 3 of 5
A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Correct Answer: D
Rationale: Respite care provides relief for caregivers, reducing burnout.
Question 4 of 5
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's?
Correct Answer: C
Rationale: Nicotine is a vasoconstrictor that can trigger Raynaud's exacerbations.
Question 5 of 5
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Correct Answer: B
Rationale: The transverse colon stoma is typically located in the upper abdomen, corresponding to location B.